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Individual

LORRAINE M REBUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1410 TUSCULUM BLVD STE 2200, GREENEVILLE, TN 37745-5822
(423) 639-0243
(423) 639-0628
Mailing address
900 E HILL AVE STE 230, KNOXVILLE, TN 37915-2565
(865) 862-0998
(865) 544-1861

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-03212
NM
363L00000X
Nurse Practitioner
RN197961
GA
363LA2100X
Acute Care Nurse Practitioner
RN197961
GA

Other

Enumeration date
05/12/2015
Last updated
12/08/2021
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